| NPI | 1891135794 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 327308) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 00618) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA 327308) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: LA 327308) | |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2023-04-13 |